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PERSONAL HISTORY

PERSONAL INFORMATION

Ms Mr

LAST NAME / NOM DE FAMILLE :


First name / Prénom :

emlyon student e-mail address :


Back-up e-mail address (mandatory) :

Student status for the academic year 202_ / 202_ academic year in the MSc in Management-Grande
Ecole Programme of emlyon business school
enrolled in Year 1 of the MSc in Management – Grande Ecole Programme (Graduate Programme)
enrolled in Year 2 of the MSc in Management – Grande Ecole Programme (Graduate Programme)
enrolled in Year 3 of the MSc in Management – Grande Ecole Programme (Graduate Programme)

Date of birth (dd/mm/yyyy) : Passport number:

Place of birth : Passport Date of issue :

Country of birth : Passport Date of expiry :

Nationality :

PERMANENT ADDRESS :

TEL. NUMBER :

LEVEL IN LANGUAGES
(absolute beginner, weak or false beginner, intermediate, good, fluent)

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English :

Second language (specify) :

Other language (specify) :

EDUCATION
(Secondary School, “Classes Préparatoires”(= Pre-Business School Classes), University, …)

Degree Received in
INSTITUTION FROM… UNTIL…

PROFESSIONAL EXPERIENCE OR SIGNIFICANT INTERNSHIPS

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Part-time
COMPANY Full-time
MISSION Dates and number
DATES of days per week
(NAME AND PLACE)

ASSOCIATION ACTIVITY

Member or
Position/Role Number of
Number of
FIELD OF Budget hours per
NAME DATES held in the members
ACTIVITY week
association

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